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  4. Temporomandibular disorder in individuals with spinal cord injuries

Temporomandibular disorder in individuals with spinal cord injuries

The Journal of Spinal Cord Medicine, 2024 · DOI: 10.1080/10790268.2022.2046421 · Published: January 1, 2024

Spinal Cord InjuryRehabilitationMusculoskeletal Medicine

Simple Explanation

This study aimed to determine if individuals with spinal cord injuries (SCI) have higher levels of temporomandibular disorders (TMD) compared to individuals without physical disabilities. The researchers assessed cervical spine mobility, palpated muscle groups of the head and neck, and evaluated jaw movements in both groups to identify differences in TMD. The findings indicated that the SCI group had worse range of movement and lateral flexion compared to the group without SCI, suggesting a clinical link between cervical and mandibular disability in SCI patients.

Study Duration
Not specified
Participants
19 patients with SCI and 19 patients without SCI
Evidence Level
Cross-sectional study

Key Findings

  • 1
    The SCI group showed statistically significant differences in range of movement compared to the control group (P = 0.020).
  • 2
    The SCI group demonstrated significantly lower maximum right lateral movement compared to the control group (P = 0.007).
  • 3
    Individuals without SCI exhibited better lateral flexion in cervical mobility compared to the SCI group (P = 0.046).

Research Summary

This study evaluated TMD in individuals with SCI compared to individuals without physical disabilities, using a cross-sectional design. The results indicated that the SCI group had higher levels of TMD, specifically in terms of range of movement, lateral flexion, and maximum right lateral movement. The study concluded that there is a clinical significance between cervical and mandibular disability in individuals with spinal cord injuries.

Practical Implications

Clinical Practice

Healthcare professionals should consider the potential for TMD in individuals with SCI and incorporate assessments of mandibular function and cervical mobility into their evaluations.

Rehabilitation Strategies

Rehabilitation programs for individuals with SCI should address cervical spine and stomatognathic system interconnection to prevent or manage TMD effectively.

Further Research

Future studies should explore the underlying mechanisms linking cervical and mandibular disability in SCI patients and investigate the impact of psychosocial factors on TMD in this population.

Study Limitations

  • 1
    Cross-sectional design
  • 2
    Convenience sampling
  • 3
    Absence of data on psychosocial aspects of individuals

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